HomeMy WebLinkAbout164677 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00350431 Page 1 of 1
ONE CIVIC SQUARE DICKINSON FLEET SERVICES LLC
CARMEL, INDIANA 46032 PO BOX 66724 CHECK AMOUNT: $1,530.78
a INDIANAPOLIS IN 46266 CHECK NUMBER: 164677
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOU DESCRIP
2201 4351000 575926 1,530.78 AUTO REPAIR MAINTEN
14693 5 7 5 9 2 6 DICIUNSON Dickinson Fleet Services, LLC
Indianapolis Service Center (Main Office)
UNIT# 203C 4709 West 96th Street
INVOICE Indianapolis, IN 46268
CARL STREET DEPT FLEET (317) 872-4542
3400 W 131ST ST OSERVICES Fax (317) 872-7624
WESTFIELD, IN 46074 PAGE 1
HOME:317-733-2001 BUS:317-733-2005
SERVICE ADVISOR: 111 MECHANICAL SHOP
YEAR :M :YIN
AKE/MODEL
03 JGMC C8500 1GDT8E4C53F520067 2030 20600 20600
PQ NO
w:
P AYMENT
IS 1 23:0,0 I CHG 124SEP08
COMMENTS:
21:20 22SEP08 115:47 24SEP08
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A L/R SPRING BROKEN
16 SUSPENSION
1035 CME
1094 CME
1112 CME
1127 CME
1400 CME
585.00 585.00
1 BS16PB PB BLASTER 5.56 5.56 5.56
A
I
1 50-275-566737 SPRING........ 33.59 433.59 433.59
q -w
4 1X10-566737 SADDLE:: BOLT 18 27.18 108.72
4 1SLN-SAE-566737 LOCK NUT*::......
3-65 3.65 14.60
8 HWX16-566737 WASHER 1:.87 3.87 30.96
1 327-437-566737 SPRING PIN
24:.95 24.95 24.95
2 1/2X4-566737 CAPS CREW
5!.80 5.80 11.60
2 1/2SLN-566737 LOCK
NUT
.:NUT 3:. 65 3.65 7.30
MISC MISC MATERIAL
CMISC 21.76 21.76
LUKE FUEL SURCHARGE
CMISC
3.97 3.97
PARTS: 637.28 LABOR: LINE A: 1248.01
BROUGHT UNIT IN SHOP, CHECKED O'U T REMOVED &RE PLACED LEFT REAR
SPRING PACK ASSEMB LY WITH NEW.�.....
0 ED WITH NEW PINS UBOLTS AS
:REASSEMBL:::. iW:�'::
NEEDED.
B** REPLACED L/F DRIVE AXLE BRAKE CHAMBER
13 BRAKES, AIR SYSTEM
1524 CME 159.60 159.60
1 3430008 PIGGY BACK CHAMBER LONG 88.17 88.17 88.17
PARTS: 88.17 LABOR: 159.60 OTHER: 0.00 TOTAL LINE B: 247.77
FOUND L/F DRIVE AXLE BRAKE CHAMBER BLOWN WHEN R EMOVING SPRING
ASSEMBLY, REMOVED AND REPLACED B RAKE CHAMBER, ADJUSTED AND RECHECKED
PLEASE REMIT TO: DICKINSON FLEET SERVICES, LLC STATEMENT OF DISCLAIMER DESCR
TOTALS
P.O. BOX 66724 ANY WARRANTIES ON THE PARTS AND LABOR AMOUNT
ACCESSORIES SOLD HEREBY ARE MADE By
INDIANAPOLIS, IN 46266-6724 THE MANUFACTURER. DICKINSON FLEET PARTS AMOUNT
SERVICES, LLC MAKES NO WARRANTIES OF
ANY KIND, EXPRESS OR IMPLIED, AND GAS, OIL, LUBE
DISCLAIMS ALL WARRANTIES OF SUBLET AMOUNT
CUSTOMER ACKNOWLEDGMENT MERCHANTABILITY OR FITNESS FOR A
PARTICULAR PURPOSE, WITH REGARDS TO MISC. CHARGES
CUSTOMER ACKNOWLEDGES THAT HE HAS INSPECTED THE THE SERVICE. PARTS LABOR, AND/OR
REPAIRS TO THE VEHICLE ON THIS INVOICE AND THE REPAIRS ACCESSORIES PURCHASED AND THAT IN NO TOTAL CHARGES
MEET THE CUSTOMERS REQUIREMENTS AND EXPECTATIONS. EVENT SHALL DICKINSON FLEET SERVICES
CUSTOMER FURTHER AGREES TO PAY THE INVOICE IN FULL, LLC BE LIABLE FOR INCIDENTAL ok LESS
AS SHOWN, WITHOUT DEDUCTION OR SET OFF.
CONSEQUENTIAL DAMAGES OR COMMERCIAL SALES TAX
LOSS ARISING OUT OF SUCH PURCHASE.
X :X
PLEASE PAY
CUSTOMER SIGNATURE THIS AMOUNT
CUSTOMER COPY
14693 5 7 5 9 2 6 DICIUNSON Dickinson Fleet Services, LLC
Indianapolis Service Center (Main Office)
UNIT# 203C 4709 West 96th Street
INVOICE Indianapolis, IN 46268
CARMEL STREET DEPT A (317) 872 -4542
VICES
3400 W 131ST ST Fax (317) 872-7624
WESTFIELD, IN 46074 PAGE 2
HOME:317-733-2001 BUS:317-733-2005
SERVICE ADVISOR: 111 MECHANICAL SHOP
1YEAR: IN/:
MAKE /MOD
I
03 JGMC C8500 1GDT8E4C53F520067 203C 20600/20600
:;DATE
PO NO !NV.:
IS 23:00 25SEP081 CHG 124SEP08
C OMPUTED
COMMENTS:
21:20 22SEP08 15:47 24SEP08
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
BRAKE OPER ATION AFTER SPRING PACK WAS INSTALLED.
CUSTOMER PAY EPA CHARGES FOR REPAIR ORDER 35.00
m w:
PLEASE REMIT TO: DICKINSON FLEET SERVICES, LLC STATEMENT OF DISCLAIMER
PESP. TT T OTAL S
P.O. BOX 66724 ANY WARRANTIES ON THE PARTS AND LABOR AMOUNT 744.60
ACCESSORIES SOLD HEREBY ARE MADE BY
INDIANAPOLIS, IN 4626"724 THE MANUFACTURER. DICKINSON FLEET PARTS AMOUNT 725.45
SERVICES, LLC MAKES NO WARRANTIES OF
ANY KIND, EXPRESS OR IMPLIED, AND GAS, OIL, LUBE 3 .97
DISCLAIMS ALL WARRANTIES OF SUBLET AMOUNT
CUSTOMER ACKNOWLEDGMENT MERCHANTABILITY OR FITNESS FOR A 0.00
PARTICULAR PURPOSE, WITH REGARDS TO MISC. CHARGES 56 .76
CUSTOMER ACKNOWLEDGES THAT HE HAS INSPECTED THE THE SERVICE. PARTS, LABOR, AND/OR
REPAIRS TO THE VEHICLE ON THIS INVOICE AND THE REPAIRS ACCESSORIES PURCHASED AND THAT IN NO TOTAL CHARGES 1530.78
MEET THE CUSTOMERS REQUIREMENTS AND EXPECTATIONS. EVENT SHALL DICKINSON FLEET SERVICES,
CUSTOMER FURTHER AGREES TO PAY THE INVOICE IN FULL, LLC BE LIABLE FOR INCIDENTAL OR LESS 0.00
AS SHOWN, WITHOUT DEDUCTION OR SET OFF. CONSEQUENTIAL DAMAGES OR COMMERCIAL
LOSS ARISING OUT OF SUCH PURCHASE. SALES TAX 0 .00
I I
PLEASE PAY
CUSTOMER SIGNATURE THIS AMOUNT
CUSTOMER COPY
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
n
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/24/08 575926 $1,530.78
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. VfARRANT N
ALLOWED 20
Dickinson Fleet Services
IN SUM OF
4709 W. 96th Street
Indianapolis, IN 46268
$1,530.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 575926 43- 510.00 $1,530.78 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, October 10, 2008
r
Street C missioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund